Impending Cardiac Tamponade and Hemorrhagic Pleural Effusion as Initial Presentations of Incomplete Kawasaki Disease: A Case Report
- Author:
Ye Ji KIM
1
;
Kyung Min KIM
;
Jae Young LEE
;
Ji Hong YOON
;
Dae Chul JEONG
;
Woo Young PARK
;
Gi Beom KIM
Author Information
- Publication Type:Case Report
- From:Journal of Rheumatic Diseases 2020;27(1):68-72
- CountryRepublic of Korea
- Language:English
- Abstract: Kawasaki disease (KD) is an acute febrile illness that is characterized by systemic inflammation usually involving medium-sized arteries and multiple organs during the acute febrile phase, leading to associated clinical findings. The diagnosis is based on the principal clinical findings including fever, extremity changes, rash, conjunctivitis, oral changes, and cervical lymphadenopathy. However, KD diagnosis is sometimes overlooked or delayed because other systemic organ manifestations may predominate in acute phase of KD. As a cardiovascular manifestation, an acute pericarditis usually shows a small pericardial effusion, but large pericardial effusion showing clinical signs of cardiac tamponade is very rare. Here, we described a case of incomplete KD presenting with impending cardiac tamponade, and recurrent fever and pleural effusion.
